NPIMap

Individual provider Active NPI

Uthara Raju Mohan, M.D.

  • Pediatric Cardiology Physician
  • Newport Beach, CA
National Provider Identifier
1437352556
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
A99639 Issued in CA
Practice address
601 Dover Dr
Suite 2
Newport Beach, CA 92663-5735
Phone
(949) 646-1495
Fax
(949) 646-2596
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A99639 CA
Pediatric Cardiology Physician 2080P0202X A99639 CA Primary

Addresses

Primary practice location

601 Dover Dr
Suite 2
Newport Beach, CA 92663-5735

Mailing address

601 Dover Dr
Suite 2
Newport Beach, CA 92663-5735
Phone (949) 646-1495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A99639CAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Beach Memorial Medical Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Newport Harbor Cardiology Inc Past Accepting new patients
Tri-City Hospital Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients
Children's Hospital of Orange County Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEHCD/Endpoint/CAEHCD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318291200000",
    "number": "1437352556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 DOVER DR",
            "address_2": "SUITE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635735",
            "telephone_number": "949-646-1495",
            "fax_number": "949-646-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 DOVER DR",
            "address_2": "SUITE 2",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926635735",
            "telephone_number": "949-646-1495",
            "fax_number": "949-646-2596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "UTHARA",
        "middle_name": "RAJU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2011-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A99639",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A99639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.